Obesity, pregnancy, chronic diarrhea or constipation, and some infections, especially of the bowel may contribute to the problem of rectal pain. Rectal pain can be linked with intense itching, fever, and rectal bleeding with bowel movements.
Hemorrhoids or piles, - very swollen veins in the rectal area, or fissures - cracks in the skin around the rectum are the most common causes of rectal pain.
Rectal itching is usually not a medical emergency and, in many cases, can be prevented. Wearing cotton, breathable underwear and loose clothing will help.
Have plenty of water, fresh fruit, and high-fiber foods to soften stools and avoid constipation. Try avoiding certain foods that may contribute to irritation, such as highly spiced or acidic foods, coffee, alcohol, or chocolate.
Special concern for children
Sometimes a child will suddenly awake with rectal pain and itching. This often means pinworms. These small worms are contagious and may be picked up from contaminated food or from household pets. If you suspect someone in your household has pinworms, take extra care to wash hands thoroughly after using the bathroom and before preparing food, and consult the doctor.
Symptoms and Signs
Pain lasts longer than 2 weeks with self-care, or itching occurs with bleeding or pain.
Bleeding from hemorrhoids is heavy or dark in color.
Pain is severe or lasts longer than 1 week .
Self Care Steps
Avoid straining during bowel movements.
Raise legs when sitting, especially if obese or pregnant.
Cleanse rectal area well after each bowel movement.
Use a soft, white, unscented toilet tissue to reduce irritation.
Try dusting the area with unscented cornstarch or talcum powder.
Use zinc oxide ointment to decrease chafing and absorb excess moisture.
Avoid prolonged sitting.
Apply cold four times a day for pain.
Follow cold compress with a warm bath to soothe and cleanse.
If needed, take aspirin or use medicated suppositorie to relieve discomfort. Do not give aspirin to children or teenagers.